Contact Information
Day Phone:*
Alternate Phone:
Best time to call:
Current Work Status:
Credit History :
Employed-Full Time
Employed-Part Time
Self-Employed
In Transition
Retired
Not Employed
Other
Excellent
Some Credit Problems
Major Credit Problems
Bankruptcy 3-6 yrs ago
Bankruptcy 1-3 yrs ago
Property Information
Prop. Type:
Loan Purpose
Prop. Usage
State:
Zip:
Mortgage Information
Bal First Mortgage:
Interest Rate:
Mortgage Term:
Mortgage Payment:
$10,000.00
$15,000.00
$20,000.00
$25,000.00
$30,000.00
$35,000.00
$40,000.00
$45,000.00
$50,000.00
$55,000.00
$60,000.00
$65,000.00
$70,000.00
$75,000.00
$80,000.00
$85,000.00
$90,000.00
$95,000.00
$100,000.00
$125,000.00
$150,000.00
$175,000.00
$200,000.00
$225,000.00
$250,000.00
$275,000.00
$300,000.00
$325,000.00
$350,000.00
$375,000.00
$400,000.00
$425,000.00
$450,000.00
$475,000.00
$500,000.00
$525,000.00
$550,000.00
$575,000.00
$600,000.00
$625,000.00
$650,000.00
$675,000.00
$700,000.00
$725,000.00
$750,000.00
$775,000.00
$800,000.00
$825,000.00
$850,000.00
$875,000.00
$900,000.00
$925,000.00
$950,000.00
$975,000.00
1,000,000.00+
2.000%
2.125%
2.250%
2.375%
2.500%
2.625%
2.750%
2.875%
3.000%
3.125%
3.250%
3.375%
3.500%
3.625%
3.750%
3.875%
4.000%
4.125%
4.250%
4.375%
4.500%
4.625%
4.750%
4.875%
5.000%
5.125%
5.250%
5.375%
5.500%
5.625%
5.750%
5.875%
6.000%
6.125%
6.250%
6.375%
6.500%
6.625%
6.750%
6.875%
7.000%
7.125%
7.250%
7.375%
7.500%
7.625%
7.750%
7.875%
8.000%
8.125%
8.250%
8.375%
8.500%
8.625%
8.750%
8.875%
9.000%
9.125%
9.250%
9.375%
9.500%
9.625%
9.750%
9.875%
10.000%
over 10%
1 Year ARM
3 Year ARM
5 Year ARM
7 Year ARM
10 Year ARM
15 Year Fixed
20 Year Fixed
30 Year Fixed
Other
$375.00
$500.00
$625.00
$750.00
$875.00
$1,000.00
$1,125.00
$1,250.00
$1,375.00
$1,500.00
$1,625.00
$1,750.00
$1,875.00
$2,000.00
$2,125.00
$2,250.00
$2,375.00
$2,500.00
$2,625.00
$2,750.00
$2,875.00
$3,000.00
$3,125.00
$3,250.00
$3,375.00
$3,500.00
$3,625.00
$3,750.00
$3,875.00
$4,000.00
$4,000.00+
Est. Prop Value:
Desired Loan Amount:
Bal Second Mortgage:
Interest Rate:
$75,000
$100,000
$125,000
$150,000
$175,000
$200,000
$225,000
$250,000
$275,000
$300,000
$325,000
$350,000
$375,000
$400,000
$425,000
$450,000
$475,000
$500,000
$525,000
$550,000
$575,000
$600,000
$625,000
$650,000
$675,000
$700,000
$725,000
$750,000
$775,000
$800,000
$825,000
$850,000
$875,000
$900,000
$925,000
$950,000
$975,000
$1,000,000
$1,250,000
$1,500,000
$1,750,000
$2,000,000
$2,250,000
$2,500,000
$2,750,000
$3,000,000
Over $3m
$75,000
$80,000
$85,000
$90,000
$95,000
$100,000
$125,000
$150,000
$175,000
$200,000
$225,000
$250,000
$275,000
$300,000
$325,000
$350,000
$375,000
$400,000
$425,000
$450,000
$475,000
$500,000
$525,000
$550,000
$575,000
$600,000
$625,000
$650,000
$675,000
$700,000
$725,000
$750,000
$775,000
$800,000
$825,000
$850,000
$875,000
$900,000
$925,000
$950,000
$975,000
$1,000,000 +
By submitting this information, I request that only licensed participating mortgage companies meeting my criteria contact me with quotes via e-mail, telephone and/or fax using the information I have provided.
